Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 43894 | TN |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | Q2953 | TX |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD43894 | TN |
Y | 207XS0106X | Orthopaedic Hand Surgeon | Q2953 | TX |
NPI | 1407903297 |
---|---|
Provider Name | Christopher Michael Stutz |
First Address | Dallas, TX 75219-3924 |
Second Address | Dallas, TX 75219-3993 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 25/03/2016 |